In nursing facility care initial, which code corresponds to Moderate MDM?

In nursing facility care initial, which code corresponds to Moderate MDM?

• A. 99304
• B. 99305
• C. 99306
• D. 99307

Answer: (B)

Medical decision making level drives the coding for nursing facility initial visits. When MDM is moderate, you’re addressing more than one problem, you’re reviewing several data sources (such as prior records, treatment plans, medications, or test results), and you’re considering multiple management approaches with a reasonable level of risk if decisions go awry. For the nursing facility initial encounter, this level of complexity is captured by the code designated for moderate complexity. In practice, that corresponds to the code used for moderate MDM. So the numeric code that matches this scenario is 99305. Lower MDM would map to codes for straightforward or low complexity, while higher MDM or prolonged service would map to codes with greater time or complexity.

Medical decision making level drives the coding for nursing facility initial visits. When MDM is moderate, you’re addressing more than one problem, you’re reviewing several data sources (such as prior records, treatment plans, medications, or test results), and you’re considering multiple management approaches with a reasonable level of risk if decisions go awry. For the nursing facility initial encounter, this level of complexity is captured by the code designated for moderate complexity. In practice, that corresponds to the code used for moderate MDM. So the numeric code that matches this scenario is 99305. Lower MDM would map to codes for straightforward or low complexity, while higher MDM or prolonged service would map to codes with greater time or complexity.